| NPI | 1700892478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN DIXON COPPAGE Executive Director 336-725-3999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP1600X Counselor, Pastoral | |
| 101YP2500X Counselor, Professional | |
| 103TC1900X Psychologist, Counseling | |
| 103T00000X Psychologist | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2020-08-22 |